COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : ____________ Court Index No. : ______________County ________________Tennessee CONGRESSIONAL Calendar No. Case Number : CERTIFICATION JUDICIAL SUBPOENA Plaintiff(s) Page 1 of 1 -against- : _____________________________________ vs. _________________________________ : : I, _____________________, Circuit / Criminal Court Clerk of: _______________ County, Tennessee, do Defendant(s) . ..... ... .. ........ ....... ..... . .. ... ..... hereby .certify.that .the.foregoing .annexed .copies .of. .are .true,. .correct and complete copies, the same being taken from and compared with the originals on file in this office. In testimony whereof, THE STATE OF NEW YORK and seal of said court, being a Court of record with a seal. THE PEOPLE OF I have hereunto set my hand Date: ____________________ . TO ____________________________________ Clerk / Deputy Clerk - Circuit Court GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before I, _______________________, Judge of the ______________ Judicial District of the State of Tennessee, , the Honorable at the Court embracing the County of _______________,at located whose name is subscribed to the foregoing and annexed certificate County of is the in roomof Circuit ,/ on the Judge Criminal Courtof ____________ County, Tennesseein the appointed) andany recessed day of , 20 , at o'clock (duly noon, and at sworn, and or faith and date, to testify to give evidence as a witness in this action on the seal the that full adjourned credit are due andhis/her official acts. I further certify thatthe part ofaffixed to said certificate is the seal of said Court and that the exemplification is authenticated in due form and by the proper officer and in his own handwriting, and in such a form and manner that it would be received in any court of this State. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a In testimony whereof, I have hereunto set my hand and seal of said court, being a Court of record with a seal. result of your failure to comply. Date: ____________________ . Witness, Honorable Court in County, , one of the Justices of the day of ____________________________________ , 20 Circuit / Criminal Judge (Attorney must sign above and type name below) I, ______________________, Judge of ______________ County, Tennessee, do certify that Judge Attorney(s) for ______________________, whose name is subscribed to the foregoing and annexed certificate is the Judge over the Circuit / Criminal Court of said ________ Judicial District, including _____________County, (duly elected) and sworn, and that the signature of said Judge to the said certificate is genuine. Office and P.O. Address In testimony whereof, I have hereunto set my hand and seal of said court, being a Court of record with a seal. Date: ____________________ . ____________________________________ Clerk / Deputy Clerk - Circuit Court Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com